5 Who are we? A team of government and industry leaders formed to address the factors affecting an unacceptable civil helicopter accident rate. Vision: A civil helicopter community with zero accidents Mission: Establish partnerships with significant helicopter operations and encourage development and implementation of safety interventions by sharing lessons learned through accident analysis. Goals: Zero Tolerance + Zero Accidents Reduce civil the helicopter rate by 2016, Reverse any negative trend and improve safety culture in the helicopter industry. Promote safety publications and toolkits to operators across the country for maximum awareness of the USHST message.

12 FDM and SMS: An enemy of safety? Question: Is FDM and SMS an enemy of safety? 1. No, a properly implemented FDM program within a SMS will improve safety. 2. Yes, if the programs aren t managed properly. 3. No, I m pretty sure I m in the wrong classroom and this guy is nuts. 4. Yes, this guy is a fan of Sydney Dekker (a contrarian s view). 5. All of the above 12

13 Success: an enemy of safety According to Sydney Dekker, Herein lies the current safety industry's biggest problem: by turning safety into a goal to achieve statistically, companies worry more about "looking good" than actually reducing illness and injuries. 13

14 Caveat: Communicating safety Background = buy-in Be proactive get out in front of the issue Promoting past successes does little to ensure future safety. Success is the enemy of safety (counterintuitive, but true.) 14

15 Communicating Safety Poorly: Use SMS as the playbook. 1. Risk identified 2. 2 Risk Defenses 1. Physical Defenses are objects that discourage or prevent inappropriate action or mitigate the consequences of events. 2. Administrative defenses include procedures and practices that mitigate the probability of an accident. 3. Order of Precedence for Hazard Control 1. Modify the system design the hazard out 2. Physical guards or barriers 3. Warning or Alert signal 4. Procedural or training change 5. Advise people placards, notices, briefings, etc.

16 Big Data: SMS+FDM=Safety Assurance Problem statements: 1 (Micro): How to grow from a safety department into an organizational safety enterprise? 2a and 2b (Macro): How best to share critical safety info between operators, segments and continents? 16

21 Big Data: It s everywhere 21 GE s fuel studies are great example of an application of FDM.

22 Big Data: SMS+FDM=Safety Assurance Using wine, parenthood and Pringles we ll demonstrate how other industries are employing analytics to improve their business. 22

23 23 Big Data: SMS+FDM=Safety Assurance

24 Definition of SMS A safety management system (SMS) is an organized approach to managing safety, including the necessary organizational structures, accountabilities, policies and procedures. (ICAO SMM)

33 FDM supports SMS In the Safety Management Systems (SMS) context of risk management strategies, FDM is reactive (past events), proactive (seeks identification of hazards) and predictive (identifies future problems/trends). Safety risk management is assured by using objective flight data to support an SMS. FDM allows the operator to objectively establish the context or level of risk and then identify, analyze and evaluate risks.

34 FDM is tactical SMS is strategic Essentially, FDM is the tactical component of a strategic SMS. By monitoring routine flight data, the organization can achieve greater insight into the flight operation and provides additional information to enhance safety.

35 Introducing Mr. Scott Collins: IT Architecture Presentation / Web Tier Chief Technology Officer Collcomp Consulting, LLC. Provides a unique nonaviation perspective at a complex problem of handling, processing and analyzing data from very different sources. Application Layer Data Tier RDBMS Cluster HADOOP MapR Cluster File Server cluster FDR Open Data From operators FDR systems via web interface Web server presenting pages to end users and dispatching/scheduling workload to the application layer Query data, provide analysis and return results to presentation layer R-ASIAS Data Feeds FDR de-identified Operator Data N Number, Pilot, Company, Location made less specific... Aircraft Database List of aircraft models and operational limits for each FDR parameter... Weather Data SOAP interface to NOAA (30 years available) External Data Sources Maintenance Data????? FDR Database List of all FDR vendors and models with full parameter list Mission Types i.e. Testing, training, etc. Already defined and available through HAI Common keys across sources must be defined and limited based on de-identification such as location data Unified Query of all available Databases We need use cases or sample queries to begin development of hard requirements for design. This can be ranked by complexity and availability and mapped to a software release schedule with a version 1 release being relatively simple and easy to implement with the design keeping greater complexity in mind. FAA Trafic Data What is this and how can it be accessed FDR BLOB Data Video Audio Waveform

36 << Menu >>

37 What is Big? How Much Data From the dawn of civilization until 2003, humankind generated five exabytes of data. Now we produce five exabytes every two days and the pace is accelerating. Eric Schmidt, Executive chairman, Google

41 Example 2: An Infamous Retail Tale Opportunity Target consumers with promotions based on their determined life situation Data & Analytics Transaction receipts and other undisclosed information Inference engine to predict future needs based on shopping and purchase pattern changes Result Identified woman was pregnant; even estimated her due date Woman was a pregnant teen; her father didn t know until coupons arrived Coupons now sealed

42 Example 3: Flight of the Pringle Opportunity All worldwide Pringles are made in 1 of 3 plants using the same process adapted from other baked goods in N. America, Europe and Asia As production rates ramped up, almost 20% of production was lost due to broken chips Data & Analytics Using big data analytics, they were able to correlate chip breakage with specific spots in the production line and correlated that to aerodynamic effects of the Pringles on conveyors at speed They then used supercomputing combined with big data analysis to redesign the shape of the Pringle to make it more aerodynamically sound Result Failure / breakage rate dropped from ~20% to ~3% saving over $7 million dollars per plant annually in lost revenue.

43 Big Data: SMS+FDM=Safety Assurance Problem statements: 1 (Micro): How to grow from a safety department to an organizational safety enterprise? (Solution) SMS provides tools and processes for an organization to grow its safety enterprise. 43

45 A short story Purpose Provide historical perspective of modern safety systems. Frame session material Promise It s fiction; names and identities have been changed to protect the innocent. No small animals or children were harmed in anyway Working Title Next 45

49 The plot: A desire to bend the story (and a few other silly questions): Safety Manager: Can we adjust the event definition at XYZ to decrease the rate of unstable approaches? Fleet Supervisor: That can t be we ve flown these aircraft for years. We re no different than other fleets! The data must be wrong. Etc 49

58 Definition of Safety (ICAO) Safety is the state in which the risk of harm to persons or of property damage is reduced to, and maintained at or below, an acceptable level through a continuing process of hazard identification and risk management

59 Safety Risk The assessment, in terms of probability and severity, of the consequences of a hazard, taking as reference the worst foreseeable situation.

60 What is Safety Risk Management (SRM) A formal process within the SMS describes the system identifies the hazards assesses and analyses the risk and causes controls the risk to as low as reasonably practicable monitors the changes to ensure effectiveness Integrated within the processes used to provide the product/service Data Driven (Safety Reports, FDM, ASAP, AQP, LOSA, etc.)

64 Focus on 3 primary areas of SMS Managing Risk (James Reason s 3 elements) Organization Technology People Human beings, the technology they operate, and the organization they work within, are the three sets of factors likely to be implicated in breaching defences put in place to avoid accidents Must read: Managing the Risks of Organizational Accidents (Reason) (Also Just Culture (Dekker)

70 Big Data: SMS+FDM=Safety Assurance Problem statements: 2a and 2b(Macro): How best to share critical safety info between operators, segments and continents? (Solution) Sharing and analyzing flight data and other sources of safety information provides operators with apples-to-apples comparisons of like operations and provides opportunities for systematic improvements throughout the industry. 70

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